Individual provider Active NPI

Crystal Anney-Mitchell, P.A.-C

  • Physician Assistant
  • Beaver, PA
National Provider Identifier
1992792675
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050795 Issued in PA
Practice address
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone
(724) 728-7000
NPI assigned
Sep 29, 2005
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050795 PA Primary

Addresses

Primary practice location

1000 Dutch Ridge Rd
Beaver, PA 15009-9727

Mailing address

118 Shadylane Dr
Beaver, PA 15009-1164
Phone (724) 773-0840

Other practice location 1

1030 Beaner Hollow Rd
Beaver, PA 15009-9723
Phone (724) 775-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040422001272 PA Practitioner - Physician Assistant 0840286035 Reassigns benefits to 2 organizations
I20130327000264 OH Practitioner - Physician Assistant 0840286035 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities, Inc. CurrentSince Oct 1, 2009 Accepting new patients
Valley Medical Facilities Inc CurrentSince Oct 1, 2009 Accepting new patients
Valley Medical Facilities Inc CurrentSince May 12, 2013 Accepting new patients
Emergency Associates of Eastern Ohio LLC Past Accepting new patients
Association of Specialty Physicians, Inc Past Accepting new patients
Valley Medical Facilities, Inc. Past Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1000 Dutch Ridge Rd
Fl Third
Beaver, PA 15009
Phone (412) 299-8550

1030 Beaner Hollow Rd
Beaver, PA 15009
Phone (724) 774-0778

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1992792675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SHADYLANE DR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091164",
            "telephone_number": "724-773-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-728-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Beaner Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150099723",
            "country_code": "US",
            "telephone_number": "724-775-4242",
            "fax_number": "724-775-4960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANNEY-MITCHELL",
        "first_name": "CRYSTAL",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.